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Updated: Jan 21, 2026
14:59
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
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The ventriculo-cholecystic shunt: does CSF volume matter?
Duncan Henderson1, Alexandru Budu2, Michelle Horridge2
1Sheffield Children's Hospital, Clarkson Street, Sheffield, S10 2TQ, UK. Duncan.henderson@sth.nhs.uk.
Summary
Ventriculo-cholecystic shunts may fail in paediatric hydrocephalus management if cerebrospinal fluid (CSF) output is high. Caution is advised when using this shunt in patients with high pre-operative external ventricular drain (EVD) output.
Area of Science:
- Pediatric Neurosurgery
- Hydrocephalus Management
- Surgical Innovation
Background:
- Peritoneal shunt failure in paediatric hydrocephalus presents management challenges.
- Ventriculo-cholecystic shunting is an alternative, but gallbladder capacity for cerebrospinal fluid (CSF) is not well-understood.
Observation:
- A retrospective case series identified three paediatric patients who underwent ventriculo-cholecystic shunting.
- Two shunts remained functional beyond one year in patients with pre-operative external ventricular drain (EVD) outputs of 8 and 10 ml/h.
Findings:
- One ventriculo-cholecystic shunt failed within four days due to distal dysfunction in a patient with a pre-operative EVD output exceeding 30 ml/h.
- This suggests a correlation between high CSF output and shunt failure.
Implications:
- Ventriculo-cholecystic shunting requires careful patient selection.
- Pre-operative EVD measurements are crucial for assessing the risk of shunt failure in paediatric hydrocephalus.
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